日本口腔外科学会雑誌
Online ISSN : 2186-1579
Print ISSN : 0021-5163
ISSN-L : 0021-5163
クローズドロック症例 (非ロック解除例) における臨床所見の推移について
高木 律男上路 敬一成 辰煕松下 健大橋 靖
著者情報
ジャーナル フリー

1993 年 39 巻 12 号 p. 1314-1319

詳細
抄録

We investigated the changes of signs and symptoms in 18 cases suffering from persistent closed lock.
The results were as follows:
1. Severe pain was present in all patients at the beginning of treatment. At the end of treatment, severe pain was noted in only one patient. Pain disappeared or improved in the other patients. Continued improvement was found during follow-up.
2. Average maximum mouth opening was increased from 25.2 mm to 35.3 mm after conservative treatment. This trend also continued during follow-up (ave. 37.3 mm).
3. Crepitation was noted in 44.4% of the patients at first visit. It increased during conservative treatment, and was noted in 77.8% at the end of treatment. However, crepitation decreased, and was recognized in 55. 6% during follow-up.
4. The incidence of radiographic bone changes (erosion, osteophytes and/or deformity) of the condylar head was 66.7% initially and increased during treatment and follow-up.
5. These results indicate that severe pain and trismus in these patients improved to some degree by long-term conservative treatment, but prolonged careful follow-up is required in persistent cases, especially those with bone changes and/or crepitation.

著者関連情報
© 社団法人日本口腔外科学会
前の記事 次の記事
feedback
Top